Encysted hydrocele

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Right sided groin swelling. ? hydrocele of the cord or inguinal hernia.

Patient Data

Age: 1 year
Gender: Male
ultrasound

Encysted right hydrocele. No fluid around the testicle. Normal testes and epididymides bilaterally.

Case Discussion

The right groin swelling differential of encysted hydrocele and inguinal hernia is a good differential in a 1 year old.

In this case, there is a cyst in the groin that does no communicate with the peritoneum or the tunica adjacent to the testicle. This is an encysted hydrocele.

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